La Fayette Prescription Shop
NPI #1780755793 in La Fayette, Georgia
Provider Information
- NPI Number
- 1780755793
- Entity Type
- Organization
- Organization Name
- La Fayette Prescription Shop
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 700 E VILLANOW ST
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-2619
- Phone
- (706) 638-4347
Authorized Official
- Name
- RICHARD EZELL
- Title
- PRESIDENT
- Phone
- (423) 653-1750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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